A patient presents with anorexia, jaundice, hepatomegaly, ascites, and abdominal pain. A diagnosis of Laennec's cirrhosis is given. Which of the following information is most likely indicated in the patient's history?

  1. The patient has a history of alcoholism
  2. The patient had a massive liver necrosis due to exposure to hepatotoxins
  3. The patient has a history of chronic biliary obstruction
  4. The patient has a history of severe, right-sided congestive heart failure
Explanation

Answer - A - Laennec's cirrhosis is induced by alcoholism. A massive liver necrosis due to hepatotoxins induces postnecrotic cirrhosis. Chronic biliary obstruction causes biliary cirrhosis. A severe, right-sided congestive heart failure induces cardiac cirrhosis.

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